Organization
CONECUH DIALYSIS LLC
Active
Other names
Laurel Lakes Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
14500 LAUREL PL, LAUREL, MD 20707-4961
(301) 497-5454
(301) 776-2531
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
04/02/2025
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